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HULL, CLARENCE HERBERT       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: GRADY MEMORIAL HOSPITAL
2220 IOWA
CHICKASHA OK 73018

Address last updated on 9/19/2015
Phone #:
Fax #:
County: GRADY
License: 351
Dated: 11/2/1999
Expires: 6/30/2001
Temp. Ltr. Issued: 10/1/1999
Temp. Ltr. Expires: 11/16/1999
License Type: Provisional Respiratory Care
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
GRADY MEMORIAL HOSPITAL
2220 IOWA
CHICKASHA OK 73018

Phone #:
Fax #:

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